Organization
BIRTHROOT MIDWIFERY SERVICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANN ELEANOR TIVE L.M. (PRESIDENT)
(360) 734-2182
Entity
Organization
Contact information
Practice address
2429 ELM ST, BELLINGHAM, WA 98225-2729
(360) 734-2182
(360) 752-2498
Mailing address
2429 ELM ST, BELLINGHAM, WA 98225-2729
(360) 734-2182
(360) 752-2498
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
00000123
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7095706
—
WA
Enumeration date
03/22/2007
Last updated
08/22/2020
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